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    <!-- Bootstrap -->
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    <title>兴业分期</title>
</head>
<body>
    <div class="container">
        <div class="row">
            <a href="index.html" class="btn btn-default pull-left">返回首页</a>
        </div>

        <div class="help-block"></div>
        <div class="hidden" id="ht">分期</div>
        <div class="row">
            <h1 class="text-center"><strong>兴业分期模板</strong></h1>
        </div>
        <div class="row">
            <h1>
                债务人：<input type="text" id="nn" />
            </h1>
        </div>

        <div class="row">
            <h2>
                在贵行的信用卡无法按照账单依约还款。截至<input type="number" id="aa" style="width:120px" />年<input type="number" id="bb" style="width:80px" />月<input type="number" id="cc" style="width:80px" />日，累计欠款金额为人民币<input type="number" id="dd" style="width:220px" />元。
            </h2>
        </div>

        <div class="row">
            <h2>
                本人承诺在<input type="number" id="ee" style="width:120px" />年<input type="number" id="ff" style="width:80px" />月<input type="number" id="gg" style="width:80px" />日前还款<input type="number" id="hh" style="width:220px" />元（首付款），
            </h2>
        </div>

        <div class="row">
            <h2>
                1.还款期数：每月为一期，共计<input type="number" id="ii" style="width:80px" />期；
            </h2>
        </div>

        <div class="row">
            <h2>
                2.每期还款金额： <input type="number" id="jj" style="width:220px" />元（等额还款法在此处填写）；
            </h2>
        </div>

        <div class="row">
            <h2>
                4.每期还款时间：每期还款不晚于当月<input type="number" id="kk" style="width:80px" />日；
            </h2>
        </div>

        <div class="row">
            <h2>
                5.其它约定：
                <textarea rows="3" id="ll" cols="80"></textarea>
            </h2>
        </div>

        <div class="row">
            <form class="form-inline">
                <div class="form-group">
                    <label>请选择收件人</label>
                    <select class="form-control" id="mm">
                        <option></option>
                    </select>
                </div>
                <button type="button" id="oo" class="btn btn-primary">点击发送</button>
            </form>

        </div>
    </div>


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